Provider Demographics
NPI:1225161821
Name:DIMENSIONS HEALTH CORPORATION
Entity Type:Organization
Organization Name:DIMENSIONS HEALTH CORPORATION
Other - Org Name:SENIOR HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V.P.
Authorized Official - Prefix:MR
Authorized Official - First Name:STEWART
Authorized Official - Middle Name:
Authorized Official - Last Name:SEITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-618-2029
Mailing Address - Street 1:3601 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20722-1300
Mailing Address - Country:US
Mailing Address - Phone:301-927-4987
Mailing Address - Fax:301-864-9460
Practice Address - Street 1:3601 TAYLOR ST
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:MD
Practice Address - Zip Code:20722-1300
Practice Address - Country:US
Practice Address - Phone:301-927-4987
Practice Address - Fax:301-864-9460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)